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ParainfluenzaPhase 1NCT00641017

Safety of and Immune Response to Recombinant Live-Attenuated Parainfluenza Type 1 Virus Vaccine

A Phase 1 study testing rHPIV1 84/del170/942A, Lot PIV1 #104A vaccine in people with Parainfluenza and Virus Diseases, run by National Institute of Allergy and Infectious Diseases (NIAID) at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Human Parainfluenza Virus Type 1 (HPIV1) is a leading cause of viral respiratory infections in children, the elderly, and those with compromised immune systems. HPIV1 is also the leading cause of viral croup in children under 6 years old. Read more about this study

Who is it for?
Ages 6 months to 49 yearsHealthy volunteers can take part
Conditions the study is for
Parainfluenza, Virus Diseases
What is being tested?
rHPIV1 84/del170/942A, Lot PIV1 #104A vaccine
Type of treatment
Vaccines
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
87 participants
Where
1 siteUnited States
Study dates
Mar 2008to Jul 2012
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 6 months to 49 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult

Adult Inclusion Criteria:

  • In good health
  • Available for the duration of the trial
  • Available for post-inoculation telephone contact
  • For females, must agree to use effective birth control methods for the duration of the study

Seropositive Children Inclusion Criteria:

  • In good health
  • Seropositive for HPIV1
  • Available for the duration of the study

Seronegative Infants and Children Inclusion Criteria:

  • In good health
  • Seronegative for HPIV1 antibody
  • Available for the duration of the study

Adult Exclusion Criteria:

  • Neurologic, cardiac, pulmonary, hepatic, rheumatologic, autoimmune, or renal disease
  • Condition, in the opinion of the investigator, that will not allow the participant to comply with the protocol
  • Alcohol or drug abuse
  • History of anaphylaxis
  • History of splenectomy
  • Diagnosis of asthma within 2 years of study entry
  • HIV-infected
  • Hepatitis C infection
  • Hepatitis B infection
  • Abnormal urinalysis
  • Known immunodeficiency syndrome
  • Current use of nasal or systemic steroid medications
  • Receipt of blood products within 3 months of study entry
  • Current smoker unwilling to stop smoking for the duration of the study. The decision to exclude a potential subject is made by the investigator based upon the potential subject's medical history and physical examination.
  • Participation in another investigational vaccine or drug trial within 30 days of receiving the investigational vaccine
  • Receipt of live vaccine within 4 weeks or a killed vaccine within 2 weeks or immune globin within 3 months prior to receiving the investigational vaccine
  • Previous immunization with an HPIV1 vaccine
  • Known hypersensitivity to any vaccine component
  • Participants whose profession and/or personal responsibilities involve caring for children less than 6 months of age or for immunosuppressed individuals
  • Persistent systolic blood pressure more than 140 mm Hg or diastolic pressure more than 90 mm Hg
  • Body mass index (BMI) more than 35
  • Pregnant or breastfeeding

Seropositive and Seronegative Infants and Children Exclusion Criteria:

  • Known or suspected impairment of immunological functions as determined by the investigator
  • Major congenital malformations, including congenital cleft palate, cytogenetic abnormalities, or serious chronic disorders
  • Previous immunization with HPIV1 vaccine
  • Current use of nasal or systemic steroid medications
  • Previous serious vaccine-associated adverse event or anaphylactic reaction
  • Known hypersensitivity to any vaccine component
  • Lung or heart disease, including reactive airway disease as determined by the investigator
  • Member of household that includes an immunocompromised individual or infant less than 6 months of age
  • Attends day care with infants less than 6 months of age or immunosuppressed individuals. More information about this criterion can be found in the protocol.
  • Participation in another investigational vaccine or drug trial within 30 days of receiving the investigational vaccine or while study is occurring

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Center for Immunization Research (CIR), Johns Hopkins Bloomberg School of Public Health

    Baltimore, Maryland, 21205

Other trials in United States

About this study

Official title: A Phase I Study of the Safety and Immunogenicity of the Recombinant Live-Attenuated Human Parainfluenza Type 1 Virus Vaccine, rHPIV1 84/del170/942A, Lot PIV1 #104A, Delivered as Nose Drops to Adults 18 to 49 Years of Age, HPIV1-Seropositive Children 15 to 59 Months of Age, and HPIV1-Seronegative Infants and Children 6 to 59 Months of Age

Human Parainfluenza Virus Type 1 (HPIV1) is a leading cause of viral respiratory infections in children, the elderly, and those with compromised immune systems. HPIV1 is also the leading cause of viral croup in children under 6 years old. The purpose of this study is to determine the safety of and immune response to a HPIV1 vaccine, rHPIVI1 84/del170/942A, in 2 groups of adults and then in children who have been previously exposed to HPIV1. Once the safety of this vaccine has been established in these groups, an additional 2 groups of infants and children who have not been previously exposed to HPIV1 will be vaccinated. Naïve infants and children are the most vulnerable to naturally circulating HPIV1 and are the target population of this vaccine.

Read the detailed description

HPIV1 infection can result in severe respiratory illness that often leads to the hospitalization of infants and young children. HPIV1 is responsible for approximately 6% of all pediatric hospitalizations for respiratory tract diseases and is a main cause of severe lower respiratory tract diseases, including pneumonia and bronchiolitis in children less than 6 years old. The purpose of this study is to determine the safety of and immune response to a HPIV1 vaccine, rHPIVI1 84/del170/942A, in 5 main volunteer group: first in adults (group 1 and 2), and then in seropositive children (group 3). The last 2 groups will be seronegative infants and children that are split into 2 dosing groups; one group of seronegative infants and children will receive a lower dose of vaccine (group 4) and a second group of seronegative infants and children (group 5) will receive a higher dose of vaccine. This study will last approximately 8 weeks per group. Additional information about each of the groups is as follows:

Groups 1 and 2 will consist of 35 adults total, 18 to 49 years of age. These groups will receive one immunization with rHPIV1 84/del170/942A at study entry. Immunization will be given as nose drops. Study visits will occur on Days 3, 4, 5, 6, 7, 10, and 28. Medical history, vital signs, clinical assessment, and nasal wash will occur at most visits. Blood and urine tests will occur at selected visits. A urine pregnancy test will occur for females at study entry. Follow-up phone reports will also be required on Day 56.

Enrollment into Group 3 will begin only after safety data from Groups 1 and 2 are evaluated. Group 3 will consist of 15 seropositive children, 15 to 59 months of age. This group will receive either one immunization of rHPIV1 84/del170/942A or placebo at study entry. Immunization will be given as nose drops. Study visits will occur on Days 3, 4, 5, 6, 7, 10, and 28. Medical history, vital signs, clinical assessment, and nasal wash will occur at most visits. Blood and urine tests will occur at selected visits. Parents will be required to submit reports over the phone throughout the study. These reports will include the temporal temperature from the previous day.

Enrollment into Group 4 will begin only after safety data from Group 3 are evaluated. Group 4 will consist of 21-30 seronegative infants and children, 6 to 59 months of age. This group will receive either one immunization of rHPIV1 84/del170/942A or placebo at study entry. Immunization will be given as nose drops. Study visits will occur on Days 3, 5, 7, 10, 12, 14, 17, 19, 21, 28, and 56. Medical history, vital signs, clinical assessment, and nasal wash will occur at most visits. Blood tests will occur at selected visits. Parents will be required to submit reports over the phone throughout the study. These reports will include the temporal temperature from the previous day.

Enrollment into Group 5 will begin only after safety data from Group 4 are evaluated. Group 5 will consist of 21-30 seronegative infants and children 6 to 59 months of age. This group will receive either one immunization of rHPIV1 84/del170/942A or placebo at study entry. The immunization will be given as nose drops. The vaccine dosage that participants receive in Group 5 will be greater than the dose in Group 4. Study visits will occur on Days 3, 5, 7, 10, 12, 14, 17, 19, 21, 28, and 56. Medical history, vital signs, clinical assessment, and nasal wash will occur at most visits. Blood tests will occur at selected visits. Parents will be required to submit reports over the phone throughout the study. These reports will include the temporal temperature from the previous day.

Being tested
rHPIV1 84/del170/942A, Lot PIV1 #104A vaccine, Placebo
Medical subject headings
Paramyxoviridae Infections, Virus Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • rHPIV1 84/del170/942A, Lot PIV1 #104A vaccineBiological

    Live attenuated Human Parainfluenza Type 1 Virus Vaccine

  • PlaceboBiological

    Placebo for rHPIVI1 84/del170/942A, Lot PIV1 #104A vaccine

Study groups in NCT00641017
Study groupRoleWhat they receive
1 and 2 - AdultsExperimentalOne immunization of 1x10^6 TCID50 rHPIV1 84/del170/942A administered intranasally via nose drops at study entry
Receives: Biological: rHPIV1 84/del170/942A, Lot PIV1 #104A vaccine
3A - Seropositive ChildrenExperimentalOne immunization of 1x10^6 TCID50 rHPIV1 84/del170/942A administered intranasally via nose drops at study entry
Receives: Biological: rHPIV1 84/del170/942A, Lot PIV1 #104A vaccine
3B - Seropositive ChildrenPlacebo comparatorOne dose of 1x10^6 TCID50 rHPIV1 84/del170/942A placebo administered intranasally via nose drops at study entry
Receives: Biological: Placebo
4A - Seronegative Infants and ChildrenExperimentalOne immunization of 1x10^5 TCID50 rHPIV1 84/del170/942A administered intranasally via nose drops at study entry
Receives: Biological: rHPIV1 84/del170/942A, Lot PIV1 #104A vaccine
4B - Seronegative Infants and ChildrenPlacebo comparatorOne dose of 1x10^5 TCID50 rHPIV1 84/del170/942A placebo administered intranasally via nose drops at study entry
Receives: Biological: Placebo
5A - Seronegative Infants and ChildrenExperimentalOne immunization of 1x10^6 TCID50 rHPIV1 84/del170/942A administered intranasally via nose drops at study entry
Receives: Biological: rHPIV1 84/del170/942A, Lot PIV1 #104A vaccine
5B - Seronegative Infants and ChildrenPlacebo comparatorOne dose of rHPIV1 84/del170/942A placebo administered intranasally via nose drops at study entry
Receives: Biological: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Frequency of vaccine-related reaction events and other adverse events in each cohort

    Measured: Throughout study

  2. Amount of vaccine virus shed by each participant

    Measured: Throughout study

  3. Amount of serum antibody and mucosal antibody induced by the vaccine in each participant

    Measured: Throughout study

Secondary outcomes (2)
  1. Phenotypic stability of vaccine virus shed

    Measured: Throughout study

  2. Number of vaccinated children and infants infected with rHPIV1

    Measured: Throughout study

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Mar 2008 (estimated)
  2. Study startMar 2008
  3. Primary completionJul 2012
  4. Study completionJul 2012

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
87 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00641017
Sponsor's protocol ID
CIR 248
Status last verified
Feb 2013
First submitted
5 Mar 2008
Last updated
25 Feb 2013
Results posted
No
Data monitoring committee
Yes

Publications

  • Bartlett EJ, Amaro-Carambot E, Surman SR, Collins PL, Murphy BR, Skiadopoulos MH. Introducing point and deletion mutations into the P/C gene of human parainfluenza virus type 1 (HPIV1) by reverse genetics generates attenuated and efficacious vaccine candidates. Vaccine. 2006 Mar 24;24(14):2674-84. doi: 10.1016/j.vaccine.2005.10.047. Epub 2005 Nov 15.

    PubMed 16364511
  • Bartlett EJ, Castano A, Surman SR, Collins PL, Skiadopoulos MH, Murphy BR. Attenuation and efficacy of human parainfluenza virus type 1 (HPIV1) vaccine candidates containing stabilized mutations in the P/C and L genes. Virol J. 2007 Jul 2;4:67. doi: 10.1186/1743-422X-4-67.

    PubMed 17605811
  • Karron RA, San Mateo J, Thumar B, Schaap-Nutt A, Buchholz UJ, Schmidt AC, Bartlett EJ, Murphy BR, Collins PL. Evaluation of a Live-Attenuated Human Parainfluenza Type 1 Vaccine in Adults and Children. J Pediatric Infect Dis Soc. 2015 Dec;4(4):e143-6. doi: 10.1093/jpids/piu104. Epub 2014 Nov 12.

    PubMed 26582883

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing rHPIV1 84/del170/942A, Lot PIV1 #104A vaccine in people with Parainfluenza and Virus Diseases, run by National Institute of Allergy and Infectious Diseases (NIAID) at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 25 Feb 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Frequency of vaccine-related reaction events and other adverse events in each cohort (time frame: Throughout study). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00641017, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Feb 2013.

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